Roots at Crossroads Counseling LLC
NPI #1043964091 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1043964091
- Entity Type
- Organization
- Organization Name
- Roots at Crossroads Counseling LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 8, 2022
- Last Updated
- Sep 9, 2022
Practice Location
- Address
- 2040 MILLBURN AVE STE 102
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-3716
- Phone
- (908) 798-4809
Authorized Official
- Name
- SEVIL H MODESTE, LCSW, LCADC
- Title
- CEO
- Phone
- (908) 798-4809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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